Acute respiratory tract infections (ARTIs) caused by over 200 viruses and a number of virus-bacteria coinfections, are the main source of acute diseases worldwide, with over 17.5B cases and 2.4M deaths per year, notably killing newborns and young children. Yet today we only have vaccines and a limited number of treatment options for Influenza and just one monoclonal antibody treatment for respiratory syncytial virus (RSV). Even so, influenza has a big impact in today’s society. With the high viral mutation rates, the antiviral options are losing efficiency quickly. Influenza is responsible for:
-Over 48.8M illnesses, over 22.7M medical visits and 959T hospitalizations in the US (2017-2018 season).
-Over $3.2B medical expenses and $8.0B anual loses in US and in the EU, we estimate approximately €11.4B of medical expenses and €17.9B of lost earnings every year.
-The growing resistance to current agents such as Oseltamivir (Tamiflu®) or even the newly licensed Baloxavir (Xofluza®) and the rising the annual mortality (30% from 2016 to 2017 as registered by WHO).
The situation is much worse for high-morbidity infections caused by human pneumoviruses (hRSV and hMPV) or newly emerging viruses with pandemic potential, as the highly lethal Middle East coronavirus (MERS-CoV), for which no specific/efficient therapeutic treatment is available. In addition, globalization and human migration spread drug-resistant pathogens. Globally, 700K patients die annually infected by resistant microorganisms.
In that context, our project aims at offering a disruptive solution to fight difficult-to-treat and emerging infections globally: a drug development platform allowing the quick expansion of the current limited range of antimicrobial treatments targeting ARTIs. Our Signatura platform capitalizes from two approaches increasingly adopted by the pharma industry: (1) Repurposing, i.e. the use of already-marketed drugs for new therapeutic indications (2) Repositioning, i.e. use of investigational drugs outside the scope of the original therapeutic indication. This strategy decreases the risk of failure (the safety and bioavailability of the drug candidates have been previously assessed) and reduces both drug development time and the investment needed for market entry.
In just 2 years, our technology has led to the identification of 8 molecules with confirmed antiviral activity (protected by international patents) against Influenza viruses (common flu) and the creation of an extensive proprietary library of transcriptional data from patients infected with respiratory viruses. Our strategy is set to revolutionize the current process of drug development, because it involves a paradigm shift. We target the global response of the host cell during infection (the most relevant gene expression changes induced by the pathogen), instead of focusing on specific (and more variable) molecular determinants of the pathogen. This pioneer approach currently allows the identification and validation of effective and broad-spectrum antimicrobial agents to fight respiratory pathogens and will allow in the future to rapidly and effectively respond to (re-)emerging infectious threats and aggressive pathogen outbreaks, even when the exact nature of the pathogen is unknown.